Mednet Logo
HomeNeurologyQuestion

How do you manage patients with post spinal tap headaches?

3 Answers
Mednet Member
Mednet Member
Neurology · Brown Neurology

There are two tracks of treatment to consider in these patients. The conservative path would be laying supine as much as possible or bed rest, aggressive hydration including intravenously, and caffeine consumption. This should be the first step and tried for 24 to 48 hours before considering procedu...

Register or Sign In to see full answer

Mednet Member
Mednet Member
Neurology · Stanford University

I agree with Dr. @Dr. First Last and would add that SIH is an important consideration, particularly in patients who do not report a positional component or whose tap was in the remote past. These patients may describe being headache-free on awakening but develops once they are up and around. Often t...

Register or Sign In to see full answer

Mednet Member
Mednet Member
Neurology · Beaumont Hospital

I have seen gray respond with hydration and caffeine.

Register or Sign In to see full answer